Antidepressants use with Renal Impairment.

Q: Patient is a 48-year-old female with a history of treatment-resistant depression. She is admitted to inpatient psychiatry unit for worsening of depression and suicidal ideations. Patient denies the current or past history of manic or psychotic symptoms. 
Admission laboratory results:
CBC (complete blood count): in normal range.
Hepatic function test: in normal range.
Renal function test: eGFR of 25 mL/min.
TSH: in normal range.

Which of the following antidepressant will need DOSAGE ADJUSTMENT in this patient?

Answer with detailed explanation is available in our following course chapter (available for free access):

https://psychiatryeducationforum.teachable.com/courses/physicians-guide-for-clinical-psychiatry/lectures/6934608

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